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Re: Questions RE: Type II Diabetes HELP
Re: Questions RE: Type II Diabetes HELP -- Posted by oldal4865 on 06-28-03 04:44
Michael Roback wrote in message ...
>
. . .(snip). . .
I was horrified at my physical to learn that my Cholesterol was
>at about 275, triglycerides at about 220, LDL was at about 190, HDL 48 and
>my ratio was about 6.1. Also my blood sugar was about 175. When I did the
>A1C test it came back 9.1. The doctor put me on glucophage and zocor. The
>questions are:
>
>1) Is it a foregone conclusion that I am diabetic or could it be a
function
>of my weight? In the past when my weight went down, so did my cholesterol
>numbers.
>
>2) I am reading that Diabetes can be reversed with diet and exercise but
>some physicians say that in theory it can never be reversed.
>
>3) If one is genetically predisposed to diabetes, would it develop even
for
>one in good shape with lots of exercise. What I am wondering is if I
>definitely brought it on myself . In other words, had I exercised and been
>at a decent weight is it possible that I would have never developed it or
>would the onset just have been forstalled?
>
>4) If one monitors and controlls their diabetes, can they live just as
long
>as anyone else without any complications?
>
>5) Is it better to be off of medication and try to deal with it with diet
>and exercise first?
>
. . .(snip). . .
Many, many questions, but that's good. You are concerned and are thinking
about it. Diabetes is a disease in which the patient must do most of the
work. Dumb, happy, and complacent is a recipe for painful death in our
club. Worried and anal-retentive means a longer, happier life with less
chance of complications.
Unfortunately, the answers to many (but not all ! ! !) of your questions
are the "bad news" answers. Most of us have slightly different
interpretations of the state of diabetic art so the answer to any individual
question could vary, but in general, you have joined our club.
My viewpoints are presented below.
1. Your HbA1c of 9.1 correlates with an average blood glucose (bG) of about
245 over the last few weeks and months. That's very high. You have been
"controlling" your bG by dumping glucose in your urine. That's very bad.
2. You may feel "sorta well" right now but you are very sick and it's time
to take serious action. Take a look at
"The Progression and Natural History of Type 2 Diabetes" at
http://www.medscape.com/viewprogram/145
Make certain you understand Slides 6, 9 and 10. You have been in "medical
trouble" for several years.
3.Your sky-high LDL and triglycerides are "markers" for the Insulin
Resistance which causes Type 2 diabetes. They are markers for the damage to
the arteries which causes Type 2 diabetics (T2) to be at high risk for
premature heart attack.
The anti-Insulin Resistance meds metformin (Glucophage) and Actos reduce are
anti-heart attack meds for T2 because they reduce levels of circulating
insulin and reduce LDL and triglycerides.
Zocor merely controls cholesterol. You need both types of med.
4. Your goals are:
a. HbA1c below 6.5
b. Fasting bG below 125 mg/dL
c. bG at 2-hours-after-eating at 140 or less
d. blood pressure at 130/80 or less, preferred below 120/80
f. Total cholesterol below 200
g. LDL below 130, preferred below 100
h. Triglycerides below 150, preferred below 100
i. Triglycerides/HDL ratio below 3.0
You take as many different meds, and engage in as many lifestyle changes as
needed to meet your goals. The better you meet your goals, the better your
life.
Anal-retentive is a compliment to a diabetic.
5. The most powerful attack on your T2 will be lifestyle changes. They
are:
a. Lose fat lb
b. Gain muscle lb
c. Exercise vigorously and regularly, the more vigorously and more
regularly the better.
A 2-mile walk each day is a start.
6. Type 2 diabetes is a genetic condition. It is cued by insufficient
exercise and excess body fat. How "insufficient" the exercise and how
much "excess" the body fat seems to be an individual matter.
If you had picked professional marathon runner, mountain sheep
herder-on-foot, or Step Aerobics instructor as careers, you had a good
chance of avoiding the disease. Otherwise, who knows. . .Ask your genes how
you could have avoided it. That's a serious answer, not a joke.
Of course jokes and a sense of humor help right now. Some of our answers
and some of your reading may leave you feeling like you've been punched in
the stomach.
7. The basic T2 training course takes 10-classroom hours spread over 3 days
at our local hospital. You have a lot to learn.
8. Keep coming back. Reading the Diabetes Usenet groups
(alt.support.diabetes and misc.health.diabetes) every night has resulted in
significant improvements to my health and quality of life. I am sure it
has lengthened my potential life span.
9. Sorry about the sloppy writing and rambling. I miscalculated last night
and this morning. My bG is below 70 right now and I am a bit dopey.
I hope you memorize that and think about it in days to come. A bG below
70 is not good, but having the tools to be able to approach it is.
Good Luck.
Regards
Old Al
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